Individual provider · Type 1 NPI

Annisha Nikeisha Creary, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Brooklyn, NY

NPI number 1821168956 Active

Practice location

451 Clarkson Ave
Brooklyn, NY 11203-2057

Mailing address

2425 Nostrand Ave Apt 526
Brooklyn, NY 11210-4012

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0115391-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1821168956

Annisha Nikeisha Creary, PHYSICIAN ASSISTANT's National Provider Identifier is 1821168956, issued on Nov 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.